Cited 67 times in
Ultrasound-Guided Lumbar Medial-Branch Block: A Clinical Study With Fluoroscopy Control
DC Field | Value | Language |
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dc.contributor.author | 김원옥 | - |
dc.contributor.author | 윤경봉 | - |
dc.contributor.author | 윤덕미 | - |
dc.date.accessioned | 2015-06-10T13:02:45Z | - |
dc.date.available | 2015-06-10T13:02:45Z | - |
dc.date.issued | 2006 | - |
dc.identifier.issn | 1098-7339 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/110907 | - |
dc.description.abstract | BACKGROUND AND OBJECTIVES: For diagnostic lumbar medial-branch blocks, fluoroscopic guidance is considered mandatory, but this technique comes with radiation exposure. The clinical feasibility of the ultrasound-guided lumbar medial-branch block has been demonstrated. We evaluated the success rate and validity of this new method by use of fluoroscopy controls in patients previously diagnosed with lumbar facet joint-mediated pain. METHODS: In 20 patients, 101 lumbar medial-branch blocks were performed under ultrasound guidance. The target point was the groove at the cephalad margin of the transverse process adjacent to the superior articular process. C-arm fluoroscopy was performed afterward to confirm the needle position. Pain scores were assessed by use of visual analog scale (VAS 0 to 100). RESULTS: All 101 needles were placed in the correct lumbar segment. Ninety-six of the 101 needletips were in the correct position with a success rate of 95%. Two needles were associated with intravascular spread of the contrast dye. VAS score was reduced from 52 to 16 after the block. CONCLUSIONS: Ultrasound-guided lumbar medial-branch blocks can be performed with a high success rate. However, to be completely independent from fluoroscopy controls, this technique requires further studies regarding the detection of intravascular spread. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 451~454 | - |
dc.relation.isPartOf | REGIONAL ANESTHESIA AND PAIN MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult Aged Female Fluoroscopy Humans Low Back Pain/therapy* Lumbar Vertebrae/diagnostic imaging* Male Middle Aged Nerve Block/methods* Ultrasonography Zygapophyseal Joint* | - |
dc.title | Ultrasound-Guided Lumbar Medial-Branch Block: A Clinical Study With Fluoroscopy Control | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | Jae-Kwang Shim | - |
dc.contributor.googleauthor | Jin-Cheon Moon | - |
dc.contributor.googleauthor | Kyung-Bong Yoon | - |
dc.contributor.googleauthor | Won-Oak Kim | - |
dc.contributor.googleauthor | Duck-Mi Yoon | - |
dc.identifier.doi | 10.1016/j.rapm.2006.06.246 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00766 | - |
dc.contributor.localId | A02539 | - |
dc.contributor.localId | A02545 | - |
dc.relation.journalcode | J02601 | - |
dc.identifier.eissn | 1532-8651 | - |
dc.identifier.pmid | 16952818 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S1098733906004196 | - |
dc.contributor.alternativeName | Kim, Won Oak | - |
dc.contributor.alternativeName | Yoon, Kyoung Bong | - |
dc.contributor.alternativeName | Yoon, Duck Mi | - |
dc.contributor.affiliatedAuthor | Kim, Won Oak | - |
dc.contributor.affiliatedAuthor | Yoon, Kyoung Bong | - |
dc.contributor.affiliatedAuthor | Yoon, Duck Mi | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 31 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 451 | - |
dc.citation.endPage | 454 | - |
dc.identifier.bibliographicCitation | REGIONAL ANESTHESIA AND PAIN MEDICINE, Vol.31(5) : 451-454, 2006 | - |
dc.identifier.rimsid | 55610 | - |
dc.type.rims | ART | - |
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